Discussion Board Forum 2 Case Study MEDICAL HISTORY:Mr. DM is a 69-year-old whi

Discussion Board Forum 2 Case Study MEDICAL HISTORY:Mr. DM is a 69-year-old white male who complains of shortness of breath on exertion and occasionally at rest. The patient does not report any symptoms suggestive of myocardial ischemia. Additional findings from the medical history include treatment for hypertension and prostate cancer diagnosed within the past 5 yr. The patient quit smoking cigarettes approximately 3 yr ago and reports a 102 pack-year smoking history (average of two packs per day for 51 yr). The patient was admitted to a local hospital for an exacerbation of respiratory symptoms approximately 4 mo before enrolling in the exercise program.The remainder of the medical history is unremarkable. The patient did not use supplemental oxygen at the time of entrance into the exercise program; oxygen saturation at rest by pulse oximetry is 95%. The patient’s score on the dyspnea subscale of the Chronic Respiratory Disease Questionnaire, a measure of health-related quality of life, is 5 (on a 1-7 scale), corresponding to “some shortness of breath” during performance of activities of daily living. The patient also reports a sedentary lifestyle, rarely walking outside the home, and not participating in any sport or recreational activities.Mr. DM reported the following scores for performance of selected activities of daily living and their relation to shortness of air: grooming (2.4), shopping (2.7), driving (1.0), light housework (3.1), and walking (2.8). The scale parameters are as follows:1 = able to perform without shortness of air2 = able to perform with slight to moderate shortness of air3 = able to perform with severe shortness of air4 = unable to do because of shortness of airResults of the preexercise medical exam revealed the following:• Height and weight of 70 in. (178 cm) and 222 lb (101 kg) (body mass index = 31.8)• Resting heart rate of 85 and blood pressure of 144/98• Enlarged anteroposterior chest diameter and decreased breath sounds, prolonged expiration, and wheezes• Regular pulse with no murmurs, gallops, or bruits noted• Normal hearing and vision, absence of edema in lower extremities, and good mobility On enrollmentinto the exercise program, the patient reported the following medications:• Atrovent inhaler, eight puffs twice a day (anticholinergic bronchodilator)• Doxapram HCL, 50 mg three times a day (respiratory stimulant)• Furosemide, 40 mg four times a day (diuretic)• Hytrin, 2 mg four times a day (antihypertension drug 1-selective adrenoceptor-blocking agent)• Prednisone, 5 mg four times a day (corticosteroid)• Proventil, 0.5% twice a day ( b 2-adrenergic bronchodilator)• Serevent inhaler, two puffs twice a day ( b 2-adrenergic bronchodilator)Page 8 of 10• Theo-Dur, 300 mg twice a day (methylxanthine derivative)• Ventolin inhaler, two puffs twice a day (b 2-adrenergic bronchodilator) Pulmonary function testing revealed a forced vital capacity of 5.31 L (127% of predicted), an FEV 1 of 1.60 L (49% of predicted), an FEV 1 /FVC ratio of 30%, and a maximal voluntary ventilation of 77 L (60% of predicted). After administration of 200 mg of albuterol by metered dose inhaler, the FVC improved by 80 ml and the FEV 1 improved by 20 ml. Blood gas analysis was not performed.DIAGNOSIS:• Stage 2 (moderate) COPD with dyspnea on exertion• Obesity• Hypertension• Physical deconditioningEXERCISE TEST RESULTS:The patient performed a graded exercise test on the treadmill with continuous 12-lead ECG monitoring and blood pressure assessments. Ratings of perceived dyspnea were assessed with the Borg scale (1 to 10); oxygen saturation was assessed by pulse oximetry; and respired gas analysis was performed with a metabolic cart. Resting data included heart rate of 88, blood pressure of 144/100, and oxygen saturation of 94%. The resting ECG was essentially normal. Mild nonspecific T-wave flattening was noted in the lateral chest leads. The patient was able to complete only the first stage of the graded exercise test using a modified Naughton protocol, walking for 2 min at 1.5 mph (2.4 kph) and 1.0% grade. Heart rate was 125 beats ・ min −1 (83% of age-predicted maximum), and blood pressure was 194/100 at maximal exercise. The patient reported a dyspnea rating of 5, corresponding to “strong shortness of breath” on the Borg scale. No ECG changes consistent with ischemia were noted, and the patient did not reportchest tightness, pain, or pressure. Rare premature ventricular contractions (PVCs) were observed during exercise. Oxygen saturation at maximal exercise decreased to 85%, and the peak oxygen consumption was 14.7 ml ・ kg −1 ・ min −1 . The test was terminated because of shortness of breath and oxygen desaturation. The patient also performed a 6 min walk for distance and a hands-over-head task for time before beginning the exercise program. The distance covered during the 6 min walking trial was 948 feet (289 m); oxygen saturation decreased to 85%, and the patient reported a shortness of breath rating on the Borg dyspnea scale of 7 (severe shortness of breath or very hard breathing). The hands-over-head task is designed to assess upper body strength and susceptibility to dyspnea when the patient uses the upper extremities. The task involves removing and replacing 10 lb (4.5 kg) weights along a row of six pegspositioned at shoulder height. The patient completed this task in 57.4 s with a dyspnea rating of 3 (moderate shortness of breath) and an oxygen saturation of 86%. The average time for subjects in this particular rehabilitation program to complete this task is 50.3s.EXERCISE PRESCRIPTION:The primary consideration in prescribing exercise for this patient with COPD is his ability to maintain adequate oxygen saturation. The oxygen saturation values from the graded exercise test, the 6 min walk, and hands-overhead tasks indicate that the patient should be prescribed supplemental oxygen for use when exercising. In this case, the clinical exercise specialist can serve as patient advocate by providing the primary care physician or pulmonologist with documentation that supports the need for supplemental oxygen. During exercise, oxygen f low rate should be adjusted to maintain a minimum oxygen saturation of 90% or greater. The lack of ECG changes suggestive of myocardial ischemia during the treadmill test does not preclude the presence of coronary artery disease. Coronary artery disease is common in patients with COPD, and the diagnostic sensitivity of treadmill testing improves if the patient can attain a maximal or near-maximal level of exertion. In this case, the patient achieved a heart rate corresponding to approximately 83% of predicted. Signs and symptoms of myocardial ischemia should be carefully monitored during exercise training in this population. The exercise prescription for this patient includes the following components:• Aerobic training through walking to improve functional capacity, perception of dyspnea, and ability to perform activities of daily living• Upper body strength training exercises with dumbbells (biceps curl, triceps extension, shoulder flexion, shoulder abduction, and shoulder shrugs) to increase muscular strength and lean body mass• Stretching exercises three times weekly, performed after walking to improve joint range of motion and mobility• Frequency of three times weekly in a supervised setting to maximize training effects, minimize fatigue and risk of injury, and maximize compliance• Intensity of aerobic training exercise at a dyspnea rating of 3 to 5 on Borg dyspnea scale and intensity of strength training at two sets of each exercise with a weight that allows 12 to 15 repetitions of the movement to maximize training effects, minimize risk of untoward cardiovascular or pulmonary events, and maximize compliance• Duration of 30 min per session (interval training may be required, especially early in the training program) to maximize training effects, minimize fatigue and risk of injury, and maximize complianceQuestion/Prompt:

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1. Research question: Do mathematics majors tend to have higher SAT-Math scores

1. Research question: Do mathematics majors tend to have higher SAT-Math scores than statistics majors?Design: A random sample of 50 mathematics majors and 50 statistics majors at Penn State is obtained. The SAT-Math score of each of these students is recorded. In this scenario, are the samples of mathematics and statistics majors independent or paired? A) Independent B) Paired 2. Research question: Is the average body temperature of indoor cats different in the morning and evening?Design: A sample of 40 indoor cats is obtained. Each cat has his or her body temperature measured in the morning and again in the evening. In this scenario, are the morning and evening body temperature measurements independent or paired?A) Independent B) Paired 3. Research question: Is the proportion of women who like coffee greater than the proportion of men who like coffee? Which of the following sets of hypotheses should be used to address this research question? pw = proportion of women who like coffee pm = proportion of men who like coffee A) Ho: pw – pm = 0 Ha: pw – pm ≠ 0 B) Ho: pw – pm ≠ 0 Ha: pw – pm = 0 C) Ho: pw – pm ≤ 0 Ha: pw – pm > 0 D) Ho: pw – pm > 0 Ha: pw – pm ≤ 0 4. Data collected from a sample of STAT 200 students in the Fall 2015 semester were used to compare the proportion of Pennsylvania residents who own a dog. You performed a hypothesis test to determine if the proportion of residents and non-residents who own a dog is different. What are your decision and conclusion concerning this test? A) Reject the null hypothesis, there is evidence that the proportion of residents and non-residents who own a dog is different B) Fail to reject the null hypothesis, there is evidence that the proportion of residents and non-residents who own a dog is different C) Reject the null hypothesis, there is NOT evidence that the proportion of residents and non-residents who own a dog is different D) Fail to reject the null hypothesis, there is NOT evidence that the proportion of residents and non-residents who own a dog is different 5. A team of cosmetic surgeons wants to know if the average nose lengths of men and women are different. Which of the following sets of hypotheses should they use? μ1 = average nose length for women μ2 = average nose length for men A) Ho: μ1 − μ2 ≠ 0 Ha: μ1 − μ2 = 0 B) Ho: μ1 − μ2 ≥ 0 Ha: μ1 − μ2 < 0 C) Ho: μ1 − μ2 0 D) Ho: μd >0 Ha: μd ≤ 08. A statistics instructor wants to compare her students’ self-efficacy before and after being taught about a certain topic. She wants to know if self-efficacy increases. She measures each student’s self-efficacy at the beginning of class. Then she teaches a related lesson. And, at the end of class measures each student’s self-efficacy again.She collected complete data from 54 students. The average increase in self-efficacy was 3.021 points with a standard deviation of 2.334 points. What is the value of the t test statistic?A) 9.511 B) 0.318 C) 2.009 D) 1.294 9. Research question: Does self-efficacy increase following an intervention? The Minitab Express output above shows the results of a hypothesis test comparing pre-intervention self-efficacy to post-intervention self-efficacy. Given this output, what are the correct decision and conclusion? A) Reject the null hypothesis, there is evidence that increases following an intervention. B) Reject the null hypothesis, there is NOT evidence that increases following an intervention. C) Fail to reject the null hypothesis, there is evidence that increases following an intervention. D) Fail to reject the null hypothesis, there is NOT evidence that increases following an intervention. 10. Research question: Do teenage daughters tend to own more pairs of shoes than their mothers? A researcher collects data from 50 families with teenage daughters concerning the number of shoes own by the mother and the teenage daughter. Which of the following statistical tests is most appropriate for address this research question?A) Paired means t test B) Two independent means t test C) One sample t test for a mean D) Two independent proportions z test 11. Research question: Do more the 50% of STAT 200 students own a Macintosh computer?Design: You take a random sample of 500 STAT 200 students and ask each person if they own a Macintosh computer (yes/no).Which of the following procedures should you use to address this research question?A) Two independent means t test B) Two independent proportions z test C) One sample proportion z test D) One sample mean t test 12. Research question: Do boys and girls in first grade differ in terms of whether or not they like strawberry milk?You take a sample of 400 first grade students. You record each student’s gender and ask “do you like strawberry milk” and record if they respond with “yes” or “no.”Which of the following procedures should you use to address your research question?A) Two independent means t test B) Two independent proportions z test C) One sample mean t test D) One sample proportion z test 13. A team of educational psychologists wants to examine female and male college students’ confidence in the area of introductory statistics. They have a sample of 47 females and 54 males with the following descriptive statistics: Compute a 95% confidnece interval for the mean differences in the self-efficacy ratings of females and males. Hint: The pooled standard deviation is 1.847 A) [-1.532, 2.162] B) [-0.416, 1.046] C) [-0.053, 0.683] D) [-3.350, 3.980] 14. In a research study drafted in the Statistics Education Research Journal a sample of 408 college students enrolled in a business statistics course were asked for the sex (male/female) and height (in inches). You want to estimate the average difference in the heights of male and female students. Given the output above, which of the following statements is TRUE? A) There is not a statistically significant difference between the heights of males and females in the population. B) If we were to randomly select one male and one female the probability that the man would be taller than the female is 95%. C) 95% of men are taller than at least 95% of women D) We are 95% confident that in the population the average height of men is between 5.26 and 6.45 inches greater than the average height of women.

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Mini-scenarios1.    Ana is taking an online psychology class.  The instructions

Mini-scenarios1.    Ana is taking an online psychology class.  The instructions for the exams indicate that the test is “open book/open note.”  Yet the exam has a time limit of two hours.  She takes her test with two computers open – one has her notes and the book on it, and the other one is used to access the test.  Is this cheating?2.    Bob and Brenda discovered through the discussion forum that they are in the same city.  They decided that they will go to the local coffee shop to take their economics midterm exam which is “open book/open note.”  The exam has a time limit of two hours.  On a few of the questions, Bob and Brenda discussed the questions, compared their notes, and agreed upon an answer before submitting their test responses.  Is this cheating?3.    Collette wrote a paper in sociology class and wanted to use part of it in her psychology class.  She copied and pasted the portion she had written in the sociology paper.  She then continued to write more content in the psychology paper around the pasted portion.  Is this cheating?4.    Diana is not the best writer, and even though she is working with a tutor every week, there are still times that her written thoughts are not clear to others.  When she is writing essay responses on an exam, she calls her mother over to read her responses and edit her paragraphs so that her writing is clear.  Is this cheating?5.    Eduardo uses the online library to gather sources for his research paper.  The paper requires citations in APA format.  There is a button that Eduardo can click that provides the APA citation, so instead of writing the citation  himself, he clicks the button and copies/pastes the citation into his paper.  Is this cheating?6.    Frank is taking the same business class that his girlfriend took last term.  She gave him all her notes and papers.  Frank reads her papers and the instructor’s comments before writing his own papers.  He uses her notes along with his own notes for the “open book/open note” exams.  Is this cheating?7.    George is writing a paper for his environmental science course.  While researching fossil fuels, he reads each paragraph in the source (article or webpage), then closes the article and writes down what he remembers without looking back at the source.  Because he is working from his own memory, he does not cite the sources.  Is this cheating?8.    Howard does not type well – he uses the “hunt and peck” method.  The exams in his courses are timed, and they are closed book, closed note.  During the midterm exam, he gets through most of the questions, but because of his poor typing skills, he discovers he is running out of time and he still needs to answer two more short-answer questions.  With just one minute left, he takes note of the final two questions, and then time expires.  He calls the I.T. desk and reports that his computer stopped during the exam period.  He gets confirmation of that work ticket for his instructor.  Meanwhile, he starts typing answers to the final two questions from the exam so he can also submit those to his professor, along with the I.T. work request ticket.  Is this cheating?9.    Iris has no idea what to do for her poetry analysis paper.  She doesn’t understand the terms or how they apply to the poem.  In fact, she doesn’t understand the message of the poem.  She “googles” the poem and finds several places where she can purchase an essay on the topic.  She buys one of the papers, and then tries to insert her own words and thoughts into the purchased paper before submitting it.  Is this cheating?We don’t always succeed at everything we try, but failure is not necessarily a bad thing. What is really important regarding failure is what we do AFTER we fail.Sometimes we learn something about ourselves, make changes, try again and succeed… the point is that a failure can be a true learning experience and/or a growth experience.In this post, you will:It’s pretty common to hear people say, “I don’t know how I am going to get this all done.” We may think we manage our time well and know how to multitask, but there are always tips and tricks that help us make the most of our time.For example, every day after school, one mother usually waited for her son 10-15 minutes in the parking lot of the elementary school. She realized that sitting there was simply a waste of her time. She then chose to log in to her online class with her cell phone and read her textbook during this time. At the end of the week, she realized that the time in the car was 50-75 minutes of reading time!Likewise, a father carried 10 flashcards each day in his pocket. He took 5 minutes on each of his breaks at work to review the cards. He found that he retained so much more information by taking 5 minutes here and there to review concepts. Tips like this help students balance school, work, family, and other life demands.In this post, you will:In this scenario, you are part of an online class business class which is studying diversity in the workplace and diversity training. The prompt asked about the purpose of diversity initiatives/trainings, and how they can benefit business. A student posted what he experienced at his workplace diversity training not too long ago. A second student replied to his post, but with a very different “take” on the topic.Here is a copy of the second post:You got lucky. My job makes us attend these stupid trainings for diversity every year, and they are a complete waste of time. I mean, I am not going to be mean to lazy people who don’t do their work because they come from cultures where people don’t work hard. I know it’s not their fault that they were raised that way, and I guess they do ok for who they are and all, but that doesn’t mean I have to like picking up their slack. But that’s the world today, we have to accept everyone and everything.Your job is to respond to the  second post and maintain professionalism while you do. Your response should defuse the situation (rather than make it worse).One aspect of the final project is to anticipate any upcoming events that might delay your progress toward graduation (i.e. a pregnancy, military deployment, planned move, etc.)  Discuss how you plan to work around these speed bumps so you can get back on track quickly.If you cannot think of any planned speed bumps, then discuss the impact of unanticipated circumstances (earning grades of “F” or withdrawing from courses)  How will these impact your progress toward graduation, and what can you do to mitigate those circumstances?It is now five-ten years in the future, and you are a college alumnus. Congratulations! You are working in the field you have chosen.In this post, you will:

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Application of Integumentary System topics. THOROUGHLY answer the following.1.

Application of Integumentary System topics. THOROUGHLY answer the following.1. You have just received your flu vaccine in your deltoid muscle. List ALL of the layers, sublayers, and structures the needle passed through, from impact to muscle. 2. You now have a small bump and bruise due to damage in the area of the flu vaccine. Explain how the skin will repair itself. 3. You are on your way to class when you remember it is cold in the classroom. Quickly, you grab a jacket and put it on, anticipating the cold air in the classroom. After class, you return to your car, wearing your jacket and upon entering your car, you are hit by very warm air. Explain how your body will regulate your temperature (keep it in homeostasis). List all structures and processes involved in lowering your body temperature. 4. Another day, you arrive in the classroom only to discover you left your jacket in the car. It is 60 degrees Fahrenheit in the classroom. Explain how your body will regulate your temperature (keep it in homeostasis) to increase it during class. List all structures and processes used in your body. 5. You are at the beach for vacation and you have been out all day in the sun. Even though you had applied sunscreen that morning, you notice sunburn on your neck, arms, and legs. Explain what happened to your skin layers, as a result of the burn? 6. For the next several days, it is raining. You stay inside and study for your Anatomy and Physiology test. Once the rain stops, your sunburn is gone, and you are able to enjoy the beach again, this time remembering to reapply your sunscreen every two hours. At the end of the day, you have a darker brown tone to your skin. What is happening inside your body to cause the tan? 7. On the last day of vacation, it is 98 degrees Fahrenheit on the beach. You could not find sunscreen to apply but decide you will enjoy the beach for a few hours wearing a hat. You accidently fall asleep while studying for your Anatomy & Physiology test. When you wake, your skin is painful, and you notice blisters have formed on both the anterior legs and anterior arms. What type of burn are you experiencing? 8. Explain the characteristics of the burn. 9. Using one of the two possible methods, estimate the amount of burn damage to your skin.

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Each group will need to prepare a 25mL 0.15M ferric chloride to serve as a stoc

Each group will need to prepare a 25mL 0.15M ferric chloride to serve as a stock solution for the rest of the assignment. This solution does not need to be a volumetric solution. Before your group prepares the solution, determine the quantity of ferric chloride that you will need in order to prepare this stock solution. Prepare the solution in a clean but not necessarily dry 50-mL beaker. Add enough distilled water AND 2mL of 3M HCl to the sample so that final volume of the solution is roughly 25mL. Mix thoroughly using a glass stirring rod. You can measure both the distilled water and HCl using a graduated cylinder.

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Project Deliverable 5: Infrastructure and SecurityDue Week 8 and worth 110 poin

Project Deliverable 5: Infrastructure and SecurityDue Week 8 and worth 110 pointsThis assignment consists of two (2) sections: an infrastructure document and a revised Gantt chart or project plan. You must submit both sections as separate files for the completion of this assignment. Label each file name according to the section of the assignment it is written for. Additionally, you may create and / or assume all necessary assumptions needed for the completion of this assignment.The infrastructure which encompasses the network solution and security considerations is a major consideration for your company. Considering that the company will be expanding from one (1) floor to three (3) floors in the very near future you, as the CIO, are responsible for the design of the infrastructure and security protocols. You have been tasked with designing a network that is stable, redundant, and scalable. In addition, speed and reliability are important considerations. Assumptions should be drawn regarding network usage in relationship to network services and resources. All the established criteria that were set at the onset should be adhered to within your plan. The network solution that is chosen should support the conceived information system and allow for scalability. The network infrastructure will support organizational operations; therefore, a pictorial view of workstations, servers, routers, bridges, gateways, and access points should be used. In addition, access paths for Internet access should be depicted. Additionally, the security of the network should be in the forefront of your design because protecting your data is a primary consideration. Section 1: Infrastructure Document Your assignment must follow these formatting requirements: Section 2: Revised Project PlanUse Microsoft Project to: The specific course learning outcomes associated with this assignment are:

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Review the case scenario you worked on in M1 Assignment 3You can expect Bob to

Review the case scenario you worked on in M1 Assignment 3You can expect Bob to be uncooperative. Taking this into consideration, prepare a 6- to 8-page report that addresses the following questions:All written assignments and responses should follow APA rules for attributing sources.Assignment 2 Grading Criteria  Maximum Points    Determined how you plan to listen and lead during the interview and confession process.  56    Explained how you will challenge the uncooperative, untruthful, or unwilling employee.  48    Explained how you will interpret the verbal and physical behavior of Bob.  36    Determined the ways you would adopt to reduce resistance.  36    Wrote in a clear, concise, and organized manner; demonstrated ethical scholarship in accurate representation and attribution of sources; and displayed accurate spelling, grammar, and punctuation.  24    Total:  200      Due Date Feb 20, 2019 11:59 PM

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Laboratory Exercise for Plate TectonicsEarthquakes Related to a Hypothetical Pl

Laboratory Exercise for Plate TectonicsEarthquakes Related to a Hypothetical Plate BoundaryLesson DescriptionIn this exercise we will plot 40 theoretical earthquake events at the juncture of two tectonic plates.  Students will then analyze the pattern of earthquake locations and compare these patterns to possible plate boundaries.Learning ObjectivesStudent will learn to recognize the earthquake patterns associated with plate tectonic boundaries.Step OnePlot the Earthquake Data found in Table #1 onto the Area Map (Figure #1). Feel free to duplicate this map to use as work copies. Place a dot or small circle on the map to represent each earthquake event (epicenter). Next to your earthquake location write the value of the depth at which that earthquake occurred (focus).Step TwoUsing the East-West Crossection (Figure #2) plot the surface location (epicenter) of each earthquake and then, based on the depth related to each earthquake event, plot the earthquake focus. On the crossection trace the top and bottom of the plate based on the earthquake focus depths.Step ThreeAnswer the following questions.Question #1: Does the pattern of deep and intermediate earthquakes indicate a tectonic plate boundary? If so, describe.Question #2:  Is it possible to predict the thickness of this plate? How thick could this plate be? Does this thickness relate to a continental plate or oceanic plate? Oceanic plates are not 100 kilometers thick, discuss what then could account for the apparent thickness of this descending plate?Question #3:  Can a second pattern be found that could be describing the other plate? Describe. Figure #1:  Area MapFigure #2:  Crossection

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Now that you have learned about networking in this class, let’s design your dre

Now that you have learned about networking in this class, let’s design your dream network for your home computers and/or network devices (TIVO, iPad, Networked Blu-ray Player, XBox, PS3, Wii, etc).First, describe what you would have on your network (computers and other network devices). Describe any specific needs that any one of those devices will have (for example, “iPad will require Wifi network”). Describe your specific network requirements.What topology would you use?What network media will you use?What network equipment will you buy to set everything up? Find the equipment and price on a major online retailer (amazon, newegg, bestbuy, etc).How confident are you that you will be able to set this up? 

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